Organization
MARVIN J. TEITELBAUM, MD, PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN TEITELBAUM M.D. (OWNER)
(310) 828-3401
Entity
Organization
Contact information
Practice address
2901 WILSHIRE BLVD, SUITE # 230, SANTA MONICA, CA 90403-4901
(310) 828-3401
Mailing address
2901 WILSHIRE BLVD, SUITE # 230, SANTA MONICA, CA 90403-4901
(310) 828-3401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
10/02/2012
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